| NPI | 1518295641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: SC MD52401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-00397) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2016-00397) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2021-06-29 |